Medical Insurance vs. Vision Plans
Which one do I use for my eye exam?
Not all eye exams are billed the same way. The reason for your visit usually determines whether your medical insurance or vision plan is used.
Vision Plan
- Wellvision exam
- Checking your glasses prescription
- Routine annual eye exam
- Contact lens exam/fitting
- Glasses & contact lens benefits
- No specific eye problem
Medical Insurance
- Medical eye care
- Dry eye evaluation or treatment
- Diabetes-related eye evaluation
- Eye pain, redness, or infection
- Flashes or new floaters
- Glaucoma, cataracts, or retinal conditions
Examples
“I need my annual eye exam and a new prescription.” → Vision Plan
“My eyes are burning and irritated.” → Medical Insurance
What If I Have Both?
You may have both a vision plan and medical insurance, but the appropriate coverage depends on the reason for your visit and the services provided.
Routine vision concern → VISION PLAN
Medical eye concern → MEDICAL INSURANCE
Medical eye concern → MEDICAL INSURANCE
When Scheduling Your Appointment
Please tell us why you are coming and let us know about any eye symptoms or medical conditions. This helps our team schedule the appropriate type of visit and verify the applicable benefits.
Still not sure which one to use? No problem—our team can help!
Call us to schedule your next eye exam.